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KEEPING YOUR LIFE LOUD AND LOCAL SINCE 1997
Private Music Lesson & Program Registration

Student Information

Class Selection

0/750 characters
0/750 characters
0/750 characters
0/750 characters

Guardian Information

Relationship to Participant: *
 

Permission/Release Information

Media Release Agreement

Twin Town Guitars occasionally uses recordings, pictures or videos of the students participating in private lessons and programs for educational/marketing purposes of the programs. By registering in this program, you are agreeing that you or your child may be a part of recordings, pictures, print and videos that may be used by Twin Town Guitars for educational or marketing purposes. If you have additional questions prior to completing the form, please contact the Twin Town Guitars Director of Music Education.
I have read and understand the Twin Town Guitars Media Release Agreement. *
Participation/Permission Agreement


This form gives permission for me or my child to participate in and/or travel with Twin Town Guitars, its staff, volunteers, representatives, agents, for all Twin Town Guitars events for the duration of their participation in the Twin Town Guitars private lessons or programs.

Please read the following statements carefully: By selecting Yes, I Agree, you are releasing Twin Town Guitars, its employees, representatives, agents, and volunteers from any liability, personal injury, death, or property loss incurred in connection with the Event(s). You are also giving Twin Town Guitars, its employees, representatives, agents, and volunteers permission to seek whatever medical attention is deemed necessary in the event of an emergency and to provide preventative care to minor children. I/we understand that there are inherent risks involved with any trip or activity and, therefore, I/we agree (on behalf of myself, my spouse and/or my/our minor child) that Twin Town Guitars, together with its employees, representatives, agents, and volunteers shall not be responsible for and are hereby released from any liability for any personal injury, death, or property loss incurred in connection with the Event(s) of the time period noted above. I/we also authorize Twin Town Guitars to seek emergency medical treatment on behalf of me and/or my/our minor child in the event that such treatment is deemed necessary or appropriate by Twin Town Guitars and release Twin Town Guitars from any liability related to that decision or treatment. I/we further authorize the Twin Town Guitars to provide preventative care to me and my/our minor child, and release Twin Town Guitars from any liability related to that care. I/we understand that participation by me and/or my/our minor child in the Event(s) is voluntary. I/we further understand that any necessary transportation for the Event may be provided in vehicles driven by Twin Town Guitars or by third-party commercial carriers. I/we understand and agree that the scope of this release does not extend to willful, wanton, or intentional misconduct on the part of the Twin Town Guitars.

I have read and understand the Twin Town Guitars Participation/Permission Agreement. *

Thank you!